SAFETY ALERT Ref: CCC/HSE-ALERT-S-007/2018

CCC-CORPORATE HSE GROUP

Multiple Injuries – Collapse of a Platform

What Happened? (Incident Descriptions)
On June 2, 2018 around 10:45 PM (nightshift) an
incident occurred on a CCC Project in Qatar resulting in
multiple injures [One Fatality (FAT), Two Lost Time
Injuries (LTI) and Two First Cases (FAC)].

The incident occurred when a rigging crew was shifting

steel rebar bundles from a lower level to the next upper
level and placed them over an incomplete 180 square
meter Peri SKYDECK platform (That was not
horizontally restrained and without signage
indicating that it was incomplete).

After placing two rebar bundles and a scaffolding tubes

bundle (total 5.9 ton weight), the platform failed and
collapsed with one steel rebar bundle falling on one of
the workers at the level below and caused his death
(FAT). In addition, two workers (LTI’s) were seriously
injured: one rigger who fell with the platform and another
scaffolder working nearby. Another two workers
sustained minor (First Aid) injuries when they panicked
and ran away during the collapse.

Emergency response was immediately activated and the

emergency services team reached the location and took
control of the scene along with the police. Several
unsuccessful attempts were made to revive the
employee underneath the platform. The other 2 IP’s
were found with stable vital signs and transported via the
project emergency man basket by the emergency team
to the ambulances and shifted to nearest hospital.

What Went Wrong? (Causes of the incident)

1. “Gross Misconduct” on the part of the following employees:

 The night shift rigging charge-hand who proceeded with the lift even after his rigger informed him that the platform is shaky.
 The night shift engineer (for the building): despite being informed by a nightshift rigging charge-hand that the “SKYDECK
Platform is shaky”, he failed to carry out a sufficient due diligence inspection and allowed the activity of loading rebar bundles
to proceed on the platform.
 The night shift scaffolding charge-hand who advised the engineer that the structure can withstand “2 tons if bundles are
spaced out”, such info had no reference or standard and was later proved to be wrong.
 The night shift carpentry forman who conveyed the engineer’s instruction to proceed with the lifting activity without checking
the stability of the formwork (the SKYDECK).

2. Failure to Implement Effective Handover

 The Dayshift team failed to communicate a message that the platform structure was not complete and should not be used.
They also failed to install warning signs and barricades to prevent access and usage.

3. Improper Material Delivery and Management

 Steel rebar has impeded the night shift rigging crew to perform their tasks which resulted in prioritizing the steel bundle
shifting in order to create space for other activities to take place.

4. Management System failures

 No specific Method Statement and Risk Assessment (for Slab formwork).
 No procedure for Control of Temporary Works.
 Job Task Safety Instruction (JSTI) /STARRT did not include controls for ensuring loads were placed on a complete and safe
structure.
Rev.: January 1, 2018
Rev.: January 1, 2018
Issue date: 05th July 2018 Revision: January 1, 2017
 SAFETY ALERT Ref: CCC/HSE-ALERT-S-007/2018

CCC-CORPORATE HSE GROUP

Lessons Learned & Corrective Actions
1. Implement Zero Tolerance Disciplinary Action for deliberate safety violations:
 The following 4 personnel were terminated from CCC: The engineer, the forman carpentry, the charge hand rigging
and the charge hand scaffolding.

2. Implement Effective Handover System between Day & Night Shifts.

 Put in place a formal and effective handover process.
 Ensure to copy Project HSE Manager on all Handover notes.

3. Optimize Material Delivery

 Ensure “on-time delivery” for all material to prevent accumulation of material on site.

4. Activate and empower “STOP UNSAFE WORK” Practices.

 Print Stop Work Cards in different languages and distribute among employees to stop unsafe work activities when
observed.
 Empower employees to stop work if they observe hazards and conduct sufficient checking before allowing activities
to proceed.

5. Produce and implement Control of Temporary Works procedure as well as a specific Method Statement and Risk
Assessment (For Slab formwork) for each building to include the slab formwork drawings.

6. Hire and Appoint a Temporary Works Coordinator

7. Ensure Effective HSE Supervision and Monitoring

 All activities must be monitored and supervised competently, continuously and effectively in terms of safety
primarily by construction supervisors and aided by HSE officers. Never allow critical activities to take place without
HSE coverage.
 Increase the number of HSE officers during night shift

8. Plan adequately for all activities

 Ensure all workers have a clear understanding of Hazards and Risks associated with work tasks through effective
job safety task instruction (JSTI) meetings or STARRT.

9. Communicate the Lessons Learned from this incident (the content of this Alert) to the project workforce through
the following:

 A Stand-down to all site workers on site (one-time Stand-down to be conducted with all site workers in the presence
of Project Management).
 The weekly TBT (Tool Box Talk). Designate one TBT to communicate lessons learned from the incident to all site
workers.
 The weekly SSMM (Safety Supervisory Management Meeting) for managers, engineers and senior supervisors.
 The weekly SO Meeting (Safety Officers Meeting) for all Safety Officers.
 The weekly CH Meeting (Charge Hand Meeting) for all Foremen and Charge-Hands.

Rev.: January 1, 2018

Rev.: January 1, 2018
Issue date: 05th July 2018 Revision: January 1, 2017